Comprehensive Pain Management Of The Fox Valley, Sc

LBN: Comprehensive Pain Management Of The Fox Valley, Sc
Comprehensive Pain Management Of The Fox Valley, Sc is an health care organization with primary practice located at 820 E Grant St Suite 335, Appleton WI 54911-3490. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Interventional Pain Medicine, Suppliers / Durable Medical Equipment & Medical Supplies. Allopathic & Osteopathic Physicians / Interventional Pain Medicine is the primary health care specialty. Comprehensive Pain Management Of The Fox Valley, Sc can be contacted via phone (920) 733-7230, or through Yakovlev, Alexander E via phone (920) 733-7230.

Contact Information

Primary practice address
820 E Grant St Suite 335 Appleton WI 54911-3490
Phone: (920) 733-7230
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Yakovlev, Alexander E Doctor of Medicine (MD)
Phone: (920) 733-7230

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 36140-20 Wisconsin
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X 36140-20 Wisconsin
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 36140-20 Wisconsin

Profile Details

NPI number 1497810857
LBN Legal business name Comprehensive Pain Management Of The Fox Valley, Sc
DBA Doing business as
Authorized official Yakovlev, Alexander E Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 26th, 2006
Last updated Jan 24th, 2013 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497810857 NPPES
Wisconsin MEDICAID 34086400

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